摘要
留置中心静脉导管是ICU中最常用的监测和治疗措施,但其同时存在发生导管相关性血流感染(CRBSI)的风险,从而导致患者住院时间延长和病死率升高。选择锁骨下穿刺径路、使用抗生素导管可减少CRBSI的发生。应用集束化预防措施进行置管及日常护理是预防CRBSI发生的重要措施,包括严格的手卫生、应用2%氯己定和70%乙醇混合液消毒皮肤、最大消毒屏障以及定期更换辅料。定期更换导管及使用抗生素封管对预防CRBSI效果不明确,不作为常规推荐。
Central venous catheter（CVC）is one of the most common technique for monitoring and treatment in ICU.But There is a risk of catheter-related bloodstream infection causing prolonged hospital stay and increased mortality.Positioning the CVC through the subclavian vein and using a antibiotic catheter can help to reduce the incidence of CRBSI.A bundle stratige is of a crucial role in CRBSI provention.It should include strict hand hygiene,sterilizing with mixture of 70% ethano and 2% chlorhexidine,maximal sterile barrier and regular dressing change.The efficiency of regular CVC replacement and of antibiotic based catheter lock solution are not clear,and are not recommended as a routine.
出处
《医学综述》
2011年第6期864-867,共4页
Medical Recapitulate
关键词
中心静脉导管
导管相关性血流感染
预防
Central venous catheter
Catheter-related bloodstream infection
Prophylaxis
